7-8 days ago I was having difficulty in pooping. It was so tight that I had to push it so hard still I couldn't poop well. The next day when I poop it was paining and some blood came with poop. I am not sure if it's piles or it's wound inside because of that hard poop. But I took arshkalp capsule for 6 days. Now I don't have that much pain but blood is still coming with poop. Pain is reduced but still I have pain while pooping only. Earlier it was whole day after pooping. Kindly guide me what problem it can be and what should I follow.

Dr. R. N. BiswasAyurvedic Doctor8yrs exp

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The medicine can heal the wound but if the anal muscle is tight then the wound will recur again and again so first of all use indian style toilet, if you are using commode toilet, then use toilet step stool, commode toilet is unnatural for humans, western toilet increases constipation. Since constipation is a bigger factor behind piles & fissure. If you are feeling itching & burning, your anal muscles become unusually tight, this is symptoms of anal fissure, also don't go for any anal surgery fissurectomy or laser, your anus grip can be loose after surgery & it takes too much time to heal the anus wound, by that time you will also suffer pain and trouble, you should get some ayurvedic therapies like ayurvedic matra basti, ayurvedic kshar karma & anal dilatation. After that you will never have a fissure again. You'll be fine in just 10 days. We will provide you demo video for the treatment procedure, please contact us for more details at sushruta clinic, new delhi-45. 

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